S02_36C79121R0011_Attachment 7 - Pricing Schedule Template (version 1a).xlsx

XLSX spreadsheet 385 KB Posted Sep 9, 2021

Attached to: 6515--36C10G-21-AP-0022 - Nebulizers, Compressors, and Accessories
Solicitation number: 36C79121R0011
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 19

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Other files

File	Type	Posted
36C79121R0011 0004.pdf	PDF	Nov 18, 2021
36C79121R0011 0004_1.docx	DOCX document	Nov 18, 2021
36C79121R0011 0003_1.docx	DOCX document	Nov 16, 2021
36C79121R0011 0003.pdf	PDF	Nov 16, 2021
S02 36C79121R0011 0002.pdf	PDF	Oct 8, 2021
36C79121R0011 0002_1.docx	DOCX document	Oct 8, 2021
Copy of S02_36C79121R0011_Attachment 7 - Pricing Schedule Template (version 2a).xlsx	XLSX spreadsheet	Oct 4, 2021
S02 36C79121R0011 0001.pdf	PDF	Oct 4, 2021
36C79121R0011 0001_1.docx	DOCX document	Oct 4, 2021
S02_36C79121R0011_Attachment 4 - Cross Reference Index.xlsx	XLSX spreadsheet	Sep 9, 2021
S02_36C79121R0011_Attachment 5 - RFP Questions.xlsx	XLSX spreadsheet	Sep 9, 2021
S02_36C79121R0011_Attachment 1 - Invoice Inquiry Tracker 02.xlsx	XLSX spreadsheet	Sep 9, 2021
S02_36C79121R0011_Attachment 3 - HIPAA-Business Associate Agreement.docx	DOCX document	Sep 9, 2021
36C79121R0011_1.docx	DOCX document	Sep 9, 2021
S02_36C79121R0011_Attachment 6 - Past Performance Questionnaire.docx	DOCX document	Sep 9, 2021
S02_36C79121R0011_Attachment 2 - Contractor Discrepancy Report.pdf	PDF	Sep 9, 2021
S02_36C79121R0011_Attachment 8 - Letter of Supply_Letter of Commitment_SAMPLE.docx	DOCX document	Sep 9, 2021
S02 36C79121R0011 Nebulizers and Accessories.pdf	PDF	Sep 9, 2021

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Action Line Item Information

Action Type Name	Primary ID	Secondary ID	Mod Number	Title	Order Discount Type Name	Order Discount Type	Order Discount
RFQ	36C10G21R0013			NX EQ Heat Sealers (VA-18-00024939)	Percent		0

KB Version: FY20.01C

Items Item Number SLIN Description Ref CLIN Comment Include Comments in Document Contract Period Pop Begin Pop End Quantity Unit of Measure Packaging Multiple Receipt Type Line Item Is Unit Price Total Price Author: Author:

Total Price is calculated as "Unit Price" (column O) multiplied by "Quantity" (column J).

Item Discount Type Name

Item Discount

Date Updated

Address1

Address2

Address3

City

State

Zip

Zip4

Country

Mark For

Contact Name

Contact Phone

Contact Email

Delivery Date

FOB

Special Instructions

Include Instructions/Comments in Document

PRINCIPAL NAICS CODE

PRODUCT/SERVICE CODE

UNSPSC

SIC CODE

MANUFACTURER PART NUMBER (MPN)

NATIONAL STOCK NUMBER

LOCAL STOCK NUMBER

DM DOC ID

DELIVERY REF. COUNTER

UNIT TEXT/DESCRIPTION

DELIVERY REFERENCE

ITEM MASTER FILE NUMBER

EXPENDABLE/NON-EXPENDABLE

QUANTITY REQUESTED

UNIT OF PURCHASE CODE

UNIT OF PURCHASE TEXT/DESC.

NDC

FOOD GROUP CODE

NIF ITEM NUMBER

MINIMUM ORDER QUANTITY

MAXIMUM ORDER QUANTITY

REQUIRED ORDER MULTIPLE

UNIT CONVERSION FACTOR

SPECIAL REMARKS

CLINICAL DISCIPLINE

ITEM PRICE ON BPA

BASE OR OPTION PERIOD ITEM

CONTROLLED SUBSTANCE

BASE LINE ITEM NUMBER

ENVIRONMENTAL ATTRIBUTE CODE

ESTIMATED QUANTITY

0001

Nebulizers & Accessories

Base

TBD

339112

6515

0001A

Electric Compressor w/filter & cap

Base

71,649

1.00

Author: Author:

unit price of 1.00 is simply a "place holder" to ensure the formula is displaying properly.

Offeror shall enter their current unit price in Column O. Thank you.

Author: Author:

Total Price is calculated as "Unit Price" (column O) multiplied by "Quantity" (column J).

71,649.00									339112	6515
	0001B	Portable Nebulizer Compressor; rechargable battery w/filter & cap	Base			71,649	EA	0.00			339112	6515
	0001C	Disposable (Handheld)Nebulizer Sets (t-Piece)	Base			107,403	EA	0.00			339112	6515
	0001D	Non-Disposable (Handheld)Nebulizer Sets	Base			9,405	EA	0.00			339112	6515
	0001E	Disposable Filters	Base			71,045	EA	0.00			339112	6515
	0001F	Non-Disposable Filters	Base			8,056	EA	0.00			339112	6515
	0001G	Aerosol Masks	Base			40,741	EA	0.00			339112	6515
	0001H	Trach Masks	Base			250	EA	0.00			339112	6515
1001		Nebulizers & Accessories	Option 1	TBD	TBD						339112	6515
	1001A	Electric Compressor w/filter & cap	Option 1			73,082	EA	0.00			339112	6515
	1001B	Portable Nebulizer Compressor; rechargable battery w/filter & cap	Option 1			73,082	EA	0.00			339112	6515
	1001C	Disposable (Handheld)Nebulizer Sets (t-Piece)	Option 1			109,551	EA	0.00			339112	6515
	1001D	Non-Disposable (Handheld)Nebulizer Sets	Option 1			9,593	EA	0.00			339112	6515
	1001E	Disposable Filters	Option 1			72,466	EA	0.00			339112	6515
	1001F	Non-Disposable Filters	Option 1			8,257	EA	0.00			339112	6515
	1001G	Aerosol Masks	Option 1			41,556	EA	0.00			339112	6515
	1001H	Trach Masks	Option 1			256	EA	0.00			339112	6515
2001		Nebulizers & Accessories	Option 2								339112	6515
	2001A	Electric Compressor w/filter & cap	Option 2			74,554	EA	0.00			339112	6515
	2001B	Portable Nebulizer Compressor; rechargable battery w/filter & cap	Option 2			74,554	EA	0.00			339112	6515
	2001C	Disposable (Handheld)Nebulizer Sets (t-Piece)	Option 2			111,742	EA	0.00			339112	6515
	2001D	Non-Disposable (Handheld)Nebulizer Sets	Option 2			9,785	EA	0.00			339112	6515
	2001E	Disposable Filters	Option 2			73,915	EA	0.00			339112	6515
	2001F	Non-Disposable Filters	Option 2			8,464	EA	0.00			339112	6515
	2001G	Aerosol Masks	Option 2			42,387	EA	0.00			339112	6515
	2001H	Trach Masks	Option 2			262	EA	0.00			339112	6515
3001		Nebulizers & Accessories	Option 3								339112	6515
	3001A	Electric Compressor w/filter & cap	Option 3			76,034	EA	0.00			339112	6515
	3001B	Portable Nebulizer Compressor; rechargable battery w/filter & cap	Option 3			76,034	EA	0.00			339112	6515
	3001C	Disposable (Handheld)Nebulizer Sets (t-Piece)	Option 3			113,977	EA	0.00			339112	6515
	3001D	Non-Disposable (Handheld)Nebulizer Sets	Option 3			9,981	EA	0.00			339112	6515
	3001E	Disposable Filters	Option 3			75,394	EA	0.00			339112	6515
	3001F	Non-Disposable Filters	Option 3			8,675	EA	0.00			339112	6515
	3001G	Aerosol Masks	Option 3			43,235	EA	0.00			339112	6515
	3001H	Trach Masks				269	EA	0.00			339112
4001		Nebulizers & Accessories	Option 4								339112	6515
	4001A	Electric Compressor w/filter & cap	Option 4			77,555	EA	0.00			339112	6515
	4001B	Portable Nebulizer Compressor; rechargable battery w/filter & cap	Option 4			77,555	EA	0.00			339112	6515
	4001C	Disposable (Handheld)Nebulizer Sets (t-Piece)	Option 4			116,257	EA	0.00			339112	6515
	4001D	Non-Disposable (Handheld)Nebulizer Sets	Option 4			10,180	EA	0.00			339112	6515
	4001E	Disposable Filters	Option 4			76,901	EA	0.00			339112
	4001F	Non-Disposable Filters	Option 4			8,892	EA	0.00			339112
	4001G	Aerosol Masks	Option 4			44,099	EA	0.00			339112
	4001H	Trach Masks	Option 4			276	EA	0.00			339112	6515

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RefData

Discount Type	YN	Options	Receipt Type	Line Item is	FOB	State Code	State Description
Percent	Yes	Base	Quantity	Priced	(none)	AK	Alaska
Amount	No	Option 1	Amount	NSP	Origin	AL	Alabama
		Option 2		N/C	Destination	AR	Arkansas
		Option 3				AS	American Samoa
		Option 4				AZ	Arizona
		Option 5				CA	California
		Option 6				CO	C

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